Skin cancer screening in the homeless population

Wilde, Megan; Jones, Benjamin; Lewis, Bethany K.H.; Hull, Christopher M.

doi:10.5070/d33dd5f7n9

Cited by 9 publications

(8 citation statements)

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“…[40][41][42][43][44] Individuals experiencing homelessness are found to have limited access to sun protective equipment and products, lower uptake rates of HPV vaccination, poor oral hygiene, and limited understanding of the impact of tobacco and alcohol on head and neck cancer risk. 16,[45][46][47][48][49] Even after evaluation and diagnosis, challenges exist in getting individuals experiencing homelessness to the hospital for complex, long, and challenging treatment.…”

Section: Discussionmentioning

confidence: 99%

“…Prevailing theories include increased exposure to toxic chemicals, high rates of human papillomavirus (HPV) infection, poor oral hygiene, tobacco/alcohol use, chronic sun exposure, and dietary differences 40‐44 . Individuals experiencing homelessness are found to have limited access to sun protective equipment and products, lower uptake rates of HPV vaccination, poor oral hygiene, and limited understanding of the impact of tobacco and alcohol on head and neck cancer risk 16,45‐49 . Even after evaluation and diagnosis, challenges exist in getting individuals experiencing homelessness to the hospital for complex, long, and challenging treatment.…”

Section: Discussionmentioning

confidence: 99%

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Individuals Experiencing Homelessness: A Systematic Review of Otolaryngology‐Related Health Needs and Community‐Based Interventions

Mavedatnia

Hathi

Feschuk

et al. 2023

Otolaryngol.--head neck surg.

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Objective Access to and use of physician services is limited for those experiencing homelessness. Homelessness may predispose patients to several Otolaryngology‐Head and Neck Surgery (OHNS) health conditions and barriers to care may leave these unaddressed. The aim of this review was to synthesize the literature on OHNS health needs and community‐based interventions for patients experiencing homelessness. Data Sources English literature was searched in MEDLINE, EMBASE, and CINAHL. Review Methods Studies were included if they reported on OHNS‐related conditions in patients experiencing homelessness and/or interventions related to providing OHNS care to this patient population. Results Twelve hundred and one articles were screened, and 12 articles were included. Most studies reported on otologic conditions (n = 8) and head and neck‐related conditions (n = 6). Nasal trauma, chronic rhinosinusitis, dysphonia, hearing loss, and cancerous/precancerous head and neck lesions were common OHNS conditions reported in this patient population. Identified barriers to care included lack of transportation, financial considerations, and lower health literacy. Three articles on community‐based interventions were included. Most of these interventions were single visits to shelters, and ensuring adequate follow‐up was identified as a challenge. Conclusion The current literature brings attention to certain OHNS diseases that are prevalent in this unique patient population and identifies unique barriers these patients experience when accessing care. Future studies should focus on further delineating the impact of OHNS diseases in patients experiencing homelessness and screening interventions that can be employed to mitigate the impact of diseases of the head and neck.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Individuals Experiencing Homelessness: A Systematic Review of Otolaryngology‐Related Health Needs and Community‐Based Interventions

Mavedatnia

Hathi

Feschuk

et al. 2023

Otolaryngol.--head neck surg.

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“…In addition, there is a dearth of literature about conducting CSE in underserved patient populations. Specifically, studies that targeted underserved patient populations did not address how to educate PCPs about CSE for melanoma in underserved patients (Chau et al, 2002; Imahiyerobo-Ip et al, 2011; Korta et al, 2014; Roebuck et al, 2015; Wilde et al, 2013).…”

Section: Literature Reviewmentioning

confidence: 99%

“…likelihood of having a CSE as part of primary care (Chau et al, 2002;Wilde et al, 2013). This quality improvement (QI) project sought to address CSE by PCPs practicing in a setting serving underserved populations.…”

mentioning

confidence: 99%

“…Thus, PCPs caring for underserved patients are a prime target for CSE instruction. Family nurse practitioners (FNPs) commonly work with underserved patient populations with a high risk of skin cancer and a low likelihood of having a CSE as part of primary care (Chau et al, 2002; Wilde et al, 2013). This quality improvement (QI) project sought to address CSE by PCPs practicing in a setting serving underserved populations.…”

mentioning

confidence: 99%

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Clinical Skin Examination for Melanoma in Underserved Patients

Diesner

Stratton

Flamm

et al. 2021

Journal of the Dermatology Nurses' Association

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Purpose The aim of this study was to educate primary care providers (PCPs), including family nurse practitioners (FNPs), about clinical skin examination (CSE) for melanoma in underserved patients using a digitally delivered video intervention. CSE was defined as melanoma risk assessment, head-to-toe skin examination, and skin lesion assessment. Background Skin cancer is the most common cancer in the United States; melanoma is the deadliest type. PCPs do not typically perform CSE. Little is known about how PCPs learn about or conduct CSE for their underserved patients. Methods The information–motivation–behavioral skills (IMB) model guided this quality improvement project. All 14 PCPs employed in one federally qualified health center's six regional clinics were recruited. Participants completed an online pretest of the IMB model, the intervention (four brief videos covering melanoma in underserved populations and CSE), and an identical posttest 2 weeks postintervention. Results Data were analyzed using descriptive statistics. Six (42.9%) participants enrolled: All were FNPs (mean age = 39.83 years, mean years of PCP experience = 3.33). Scores for the IMB model all improved on posttest. Participants reported increased CSEs in practice (mean = 1.33–9.50). Conclusion The results show strong potential for a brief video intervention to improve FNPs' CSE skills and motivate them to use those skills with underserved patients.

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